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DOH Final > social determinants > Flashcards

social determinants Flashcards

1
Q

established national immigration quotas by origin

A

immigration act of 1924

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2
Q

abolished immigration quotas

A

Hart-Cellar Act

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3
Q

foreign nativity giving an advantage in morbidity and mortality

A

immigrant paradox

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4
Q

what is the selection reduce effect in the immigrant paradox?

A

immigrants migrate or don’t based off of how healthy or not they are

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5
Q

is the protective effect of the immigrant paradox observed across generations?

A

protective effect is not sustained over time - both within and across the generation

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6
Q

what are some possible explanations of apparent deterioration of health for immigrants with time in the US?

A

selective return migration, changing expectations, increasing access to health care and diagnoses, acculturation

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7
Q

the adoption of host country or dominant cultural norms, attitudes, and lifestyles

A

acculturation

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8
Q

What are the different models of acculturation?

A

short acculturation scale for hispanics (marin and marin)

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9
Q

what are some key critiques of the application of the concept of acculturation?

A

rarely define, implicitly assumes linear processes of change with monolithic cultural entities, neglects structural favor, lacks a life course perspective, and usually approximated

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10
Q

a theoretical framework that focuses on social and economic context and subgroup heterogeneity, with variable trajectories, with attention to social context, radicalization, SES, life course issues

A

segmented assimilation

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11
Q

imposition of racial categories and corresponding social meanings - perceived discrimination increases with tie in the US, reactive identity

A

radicalization

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12
Q

dark skinned individuals experience more interpersonal discrimination, and are therefore more stressed and have worse outcomes

A

colorism

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13
Q

what are some special considerations that should be taken into account when looking at the axes of SES measures for immigrants

A

individual vs area; absolute vs relative; objective vs subjective

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14
Q

what is subjective social status?

A

how one’s social status changes after immigrating - often a 3-step decline in status

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15
Q

what is a socially assigned race?

A

the race that other people think you are - affects how you are perceived by others

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16
Q

what is it mean to take a life course approach to immigrant health?

A

have to also take into consideration historical context and the persons’ age at time of immigration

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17
Q

What is an example of a sensitive period that may be particularly germane for immigrants?

A

language acquisition and identity formation

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18
Q

a biological construct premised upon biological characteristics enabling sexual reproduction

A

sex

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19
Q

social constructs regarding culture-bound conventions, roles, and behaviors for, as well as between and among

A

gender

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20
Q

gender and biological expressions of gender vary across…

A

a continuum

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21
Q

what are some problems associated the dominant approaches to gender and sex in public health?

A

variation of sexual development, reductionism, excluding certain groups from studies

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22
Q

what is the gender health paradox?

A

gender social inequalities do not equal gender health inequalities - unlike other major axes of social stratification, male privilege does not translate into unambiguous health benefits for men

23
Q

which gender has the longer life expectancy?

A

women

24
Q

what are some characteristics that could skew to the gender paradox?

A

contexts characterized by low resources and highly patriarchal regimes, with skewed sex rations and missing women, and with gender based violence and eating disorders

25
Q

what does it mean to move beyond binary constructions of sex and gender?

A

to view gender as a spectrum, and realize that there are also intersex individuals, or gender non-conforming people

26
Q

How can we explain the apparent gender health paradox?

A

material, behavioral, and psychosocial/stress

27
Q

what are some ways in which material resources could explain the gender paradox?

A

cohabitation and common interests in health mean that there is a lot of overlap in material resources

28
Q

what are the two sides of ambivalent sexism?

A

hostile and benevolent -

29
Q

generalized ideological motive to justify the existed social order, often resulting in internalization of inferiority by members of disadvantaged groups

A

hegemony

30
Q

What is durkeim’s theory of stigma?

A

anomie - the intense feeling of not fitting into broader social order and norms

31
Q

What is goffman’s theory of stigma?

A

it stems from an attribute that is deeply disturbing - a clash between virtual social identity and actual social identity, focused on relationship between normals and the exercise of social control

32
Q

What is the theory of stigma from link and phelan?

A

stigma is a process whereby a label sets the labeled person apart from others, links the person to undesirable characteristics, and leads to rejection and discrimination

33
Q

what is the minority stress model

A

additive (unique and different from general stressors), chronic (larger influences feeding into it that are persistent), socially based (rooted in larger society and institutions, parallel to institutional racism)

34
Q

What are some examples of distal events in minority stress model?

A

objective stressful events, external

35
Q

What are some examples of some proximal events of the minority stress model?

A

stress produced from within, internal

36
Q

what are some individual level factors that affect sexual minorities?

A

rejection sensitivity that is stigma-based, concealment,

37
Q

What are some interpersonal factors that affect sexual minorities?

A

abuse, rejection, discrimination

38
Q

What are some structural factors that affect sexual minorities?

A

state policies, institutional practices

39
Q

what are some of the major methologial challenges of sexuality studies?

A

selection or response bias, small samples and underpowered studies, precise mechanisms, fluidity of sexuality is not always captured

40
Q

What are some of the major finding of structural stigma research by hatzenbeuhler?

A

states with at least one protective policy are associated with lower suicide rates

41
Q

how do social scientists characterize and define someone’s sexuality?

A

sexual behavior, sexual attraction, and self-identification

42
Q

a concerted attempt by a group of people, beyond an individual, to agitate, advocate, or push collectively for longer term social change

A

social movement

43
Q

how much money, networks, institutional capacity a social movement has

A

resource mobilization

44
Q

timing of a social movement

A

political opportunity

45
Q

wording phrases, images, rhetoric, narrative, and stories of social movements

A

framing and culture

46
Q

what are the 3 common research traditions in social movements

A

resource mobilization, political opportunity, framing and culture

47
Q

what is the difference between frame viability and frame validity?

A

some framing terms are better at catching on, even if not accurate or misleading

48
Q

what are some challenges social movements must consider?

A

conciliation confrontation or compromise problem; inside vs outside problem; fence sitter problem; coalition; producing real results;

49
Q

the theoretical framework that posits that multiple social categories intersect and the micro level of individual experience to reflect interlocking systems of privilege and opression

A

intersectionality

50
Q

why is intersectionality harder to study?

A

approach problematizes social categories as a binary, but must operationally rely on cross clarification of such categories

51
Q

adverse health outcomes that can arise from the intersection of high and low status - higher status along one axis does not necessarily confer and increased risk

A

intersectionality paradox

52
Q

monetary transfers, conditional on compliance with requirements related to human capital, fertility, and health care

A

conditional cash transfer programs

53
Q

incorporating attention to health into social and economic policies - holding institutions, actors, and policies outside of the health sector accountable for the impacts of actions on health outcomes

A

health in all policies

54
Q

a combination of procedures, methods, and tools by which a policy, program, or project may be judges as to its potential effectst on the health of the population and the distribution of those effects

A

who health impact assessment

DOH Final (3 decks)

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